Učinek vnaprejšnjega načrtovanja oskrbe starejših odraslih z demenco v domovih starejših
pregled literature
DOI:
https://doi.org/10.14528/snr.2024.58.1.3247Ključne besede:
vnaprejšnja direktiva, paliativna oskrba, opolnomočenje, dostojanstvoPovzetek
Uvod: Vnaprejšnje načrtovanje oskrbe je za področje paliativne in hopsic oskrbe zelo pomemben izziv. Namen prispevka je bil pregledati empirične dokaze v zvezi z učinkovitostjo vnaprejšnjega načrtovanja paliativne in hospic oskrbe starejših odraslih z demenco s poudarkom na bivanju v domovih starejših.
Metode: Pregled literature je potekal v PubMed, ScienceDirect in Scopus. Iskalni nizi so zajemali: »vnaprejšnje načrtovanje oskrbe«, »demenca«, »paliativna oskrba«, »dom starejših«. Pregled vključuje kvantitativne, kvalitativne in raziskave mešanih metod o načrtovanju vnaprejšnje oskrbe za starejše odrasle z demenco, objavjene do 2023 angleškem jeziku. Uporabljena je bila narativna sinteza.
Rezultati: V analizo je bilo vključenih 10 razsikav. Identificirali smo dva koncepta: koncept načrtovanja napredne oskrbe in koncept opolnomočenja starejših odraslih z demenco.
Diskusija in zaključek: Pregled literature kaže na jasno povezavo med izraženimi preferencami starejših odraslih z demenco glede zdravljenja ob koncu življenja, volje do življenja in umiranja z manj čustvene stiske. Nadaljnje raziskave se bi morale osredotočiti na dolgoročne učinke pravočasnega izvajanja vnaprejšnjega načrtovanja oskrbe, opolnomočenje izvajalcev, multidisciplinarni pristop in finančne vidike izvajanja vnaprejšnjega načrtovanja oskrbe.
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